Plantar Fasciitis

Synonym(s):

Plantar fasciitis is characterised by pain on the inside aspect of the heel, resulting from inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of the foot, connecting the heel bone to the toes.

 

Causes and Risk Factors:
Tension and stress on the plantar fascia, leading to small tears
Repeated stretching and tearing, causing degeneration of the fascia
Advancing age
Certain types of exercises
Foot mechanics
Obesity
Occupation-related factors

Signs and Symptoms:
Pain is typically most severe in the morning, with the first steps of the day being particularly tender until the area warms up
Pain worsens with high-impact, weight-bearing activities

Diagnosis:
Thorough history and physical examination
Imaging studies, including X-ray, ultrasound, MRI, and CT scans

Treatments may include:
A combination of ice massage, taping, and stretching
Assessment and correction of biomechanical anomalies contributing to the condition
Footwear evaluation
Corticosteroid injections
Extracorporeal shockwave therapy
Surgery, if conservative measures fail

Plantar fascia stretch

1. Stand close to a wall with your hands on it for support.

2. Slide your toes down the wall until the ball of the foot touches the floor. The toes should be slightly bent in this position to maintain tension on the plantar fascia.

3. To increase tension, bring your knee forward to touch the wall.

Gastrocnemius Stretch

Soleus Stretch